Palliative Care Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Department of Medicine and Surgery, University of Parma, Parma, Italy.
Front Public Health. 2024 Oct 16;12:1393770. doi: 10.3389/fpubh.2024.1393770. eCollection 2024.
To understand palliative care needs and their changes perceived by health professionals (HPs) of the Infectious Diseases Unit who participated in palliative care (PC) intensive training during the pandemic and behind/during the pandemic and one year after the outbreak.
A longitudinal qualitative study. Thematic analysis and meaning shift were two months after training to one year. This specific thematic approach enabled the researchers to fully understand the experiences of the HPs after they participated in the intensive PC training program during the pandemic. Participant validation meeting with the ward's staff one year after the end of the course was performed. The two last validation meetings were used as a triangulation source to plan the new education projects.
From March 9 to 28, 2020, the Palliative Care Services (PCS) developed intensive experiential training. Thirty-one HPs of the Infectious Diseases Unit (physicians and nurses) who were facing the COVID-19 emergency participated in the training. We conducted eight semi-structured interviews with HPs who participated in intensive training during the first wave of the pandemic (T0), two months (T1) after training and after one year (T2), during the second wave. Two validation meetings were performed as suggested by the best practices in medical education. Twenty-two infectious disease staff members participated, 8 physicians and 14 nurses. Our data show a meaning shift on five overarching themes (defined within the sub-themes): (1) Recognizing patients' palliative care needs; (2) Responses to palliative care needs; (3) Increasing attention to intervention and care choices; (4) The suffering of health professionals; (5) Training evaluations and future expectations. At the end of Pandemic period, new training needs and acquisition have emerged. Palliative care needs changed over time: the COVID-19 themes are now far from their perception, and somehow the skills acquired during the intensive training are less present.
The pandemic led to a rapid acquisition of competencies and changes in the professionals' behaviors, maintenance of professionals' knowledge and competencies at two months and one year. COVID has improved relationships and increased interactions with the infectious world but that it has not been enough. The integration between PC and Infectious world needs models of integration to implement.
了解传染病科参与姑息治疗（PC）强化培训的卫生专业人员（HPs）在大流行期间和大流行前后以及大流行爆发一年后的PC 需求及其变化。
一项纵向定性研究。在培训后两个月和一年进行主题分析和意义转变。这种特定的主题方法使研究人员能够在 HPs 参加大流行期间的强化 PC 培训计划后，充分了解他们的经历。在课程结束一年后，与病房工作人员举行了参与者验证会议。最后两次验证会议被用作三角源，以规划新的教育项目。
2020 年 3 月 9 日至 28 日，姑息治疗服务（PCS）开展了强化体验式培训。31 名传染病科医生和护士参加了 COVID-19 紧急情况的培训。我们对参加大流行第一波期间强化培训的 HPs 进行了八次半结构化访谈（T0），培训后两个月（T1）和一年（T2），在第二波期间进行了访谈。根据医学教育最佳实践建议进行了两次验证会议。22 名传染病工作人员参加了会议，包括 8 名医生和 14 名护士。我们的数据显示，五个总体主题（在子主题中定义）上的意义发生了转变：（1）认识到患者的姑息治疗需求；（2）对姑息治疗需求的反应；（3）增加对干预和护理选择的关注；（4）卫生专业人员的痛苦；（5）培训评估和未来期望。大流行结束时，出现了新的培训需求和获取。姑息治疗需求随时间而变化：COVID-19 主题现在已经远离他们的感知，并且在某种程度上，强化培训期间获得的技能现在已经不那么明显了。
大流行导致了能力的快速获取和专业人员行为的改变，在两个月和一年时保持了专业人员的知识和能力。COVID 改善了与传染病界的关系并增加了互动，但这还不够。姑息治疗与传染病界之间需要整合模式来实施整合。
